176389 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 363269 Page 1 of 1
ONE CIVIC SQUARE PLAYPOWER LT FARMINGTON, INC CHECK AMOUNT: $289.36
CARMEL, INDIANA 46032 C/O ACCT RECEIVABLE
oN
6078 PAYSPHERE CIRCLE CHECK NUMBER: 176389
CHICAGO IL 60674
CHECK DATE: 8/19/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4463600 22165 1400134021 289.36 REPAIR PARTS -GROVE
MO PLA Invoice Number: 1400134021
Page: 1 of 1
I� Date: 07/22L200 9_
PLEASE REMIT TO f
72 0 0 9 p
r erso _ARKREATION IN
PlayPower LT Farmington, Inc. Sales Regular rnvoice
C/O Accounts Receivable Registration Number:
6078 Paysphere Circle
Chicago, IL. 60674
Billing A/R Inquiries (866) 544 -0348 Currency: USD US Dollars
Cust. Service and Order Dept. (800) 325 -8828 TERMS AND CONDITIONS
TERMS AND CONDITIONS OF SALE
ARE AS STATED IN OUR CURRENT
Tracking 1 Z6806120350952090/1 PRICE LIST AND /OR CATALOG
B CA09365 1 S 1
I CARMEL CLAY PARKS H TERRY MYERS
L 141 I .EAST 1 16TH STREET I CARMEL CLAY PARKS
L CARMEL IN 46032 P 1427 EAST 1 16TH STREET
United States CARMEL IN 46032
T T UNITED STATES
O O
Go to www.littletikescommercial.com /warranty to regi -ter your product online.
To access your CPSIA General Certificate of Conformance please go to www. littletikesc .com /CPSIA,
Order Purchase Order Packages Prepaid Weight Ship Date Terms
FM00096312 22165 0 0.00 07/22/2009 Net 30 Days
Line /Ref Qty Ordered Qty Shipped Back Order Unit Price Extended Price
1 1.00 1.00 0.00 274.00 274.00
Item: 200007049
Description: PANEL SAFETY DKMT. KB
Purchase
Description P�D �2 ef
P.O.# �2a Itnc PortF U—
G.L.
Budget
Line laesc r
Purchaser Date
APpraval Date
Sales Amount 274.00
Misc Charges 0.00
Freight 1536
Sales Tax 0.00
0.00
Prepaid Amount
Total 2 &9.36
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
PlayPower LT Farmington, Inc. Terms
6078 Paysphere Circle
Chicago, IL 60674
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/22109 1400134021 Repair parts 22165 F 289.36
Total 289.36
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
PlayPower LT Farmington, Inc. Allowed 20
6078 Paysphere Circle
Chicago, IL 60674
te ;PO was rnade�= =out to Parkreat1on In Sum of
PA'YlNG: PlayPower'LT
289.36
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
22165 F 1400134021 4463600 289.36 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
ote PO was made- out't6Parkreatlon materials or services itemized thereon for
PA ":PING: PIa .Power L`T °which charge is made were ordered and
received except
13 -Aug 2009
4
Signature
289.36 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund